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MUMBAI
INVESTMENT DECLARATION FORM FOR FY 2017-18
Particulars required for finalising income tax on salaries for the year ending 31/03/2018.
This form is to be returned along with Proof of Investment to Mr. Aloysius Dmello, Fleet Accounts
Dept. Ocean House, duly filled up latest by 15/02/2018.
___________________________________________________________________________________
Note : * Maximum Deduction u/s 80D is Rs 25,000/-.Where the person is a Senior Citizen i.e. 60 years & above, the
deduction allowable will be Rs. 30,000/- instead of Rs. 25,000/- .
I hereby declare that all the above investments / amounts are paid by me out of my income chargeable to
tax for the Financial Year 2017-18.
Signature : _______________
Date : __________________
Annexure:- III
NAME OF EMPLOYEE :
STAFF CODE :
Total
I ALSO CERTIFY THAT THOUGH THE PREMIUM RECEIPT IS IN THE NAME OF MY SPOUSE
_________________________, THE PREMIUM FOR THE SAME HAS BEEN PAID BY ME FROM MY INCOME
CHARGEABLE TO TAX FOR THE FINANCIAL YEAR 2017-18. ( STRIKE OUT IF NOT APPLICABLE )
I FURTHER CERTIFY THAT NEITHER MY SPOUSE NOR ANY OTHER FAMILY MEMBER HAS CLAIMED
NOR WILL CLAIM ANY DEDUCTION ON THE AFORESAID PREMIUM PAID BY ME UNDER ANY OF THE
PROVISIONS OF THE INCOME TAX ACT, 1961 IN THE INCOME TAX RETURN OR FROM THEIR RESPECTIVE
EMPLOYERS.
_______________________
( Signature of the employee )
DATE :
NAME OF EMPLOYEE :
STAFF CODE :
Total
I ALSO CERTIFY THAT THOUGH THE PREMIUM RECEIPT IS IN MY NAME , THE PREMIUM FOR THE
SAME HAS BEEN PAID BY MY SPOUSE __________________________ FROM HIS /HER INCOME
CHARGEABLE TO TAX FOR THE FINANCIAL YEAR 2017-18.
I FURTHER CERTIFY THAT NEITHER ME NOR ANY OTHER FAMILY MEMBER OTHER THAN MY
SPOUSE HAS CLAIMED NOR WILL CLAIM ANY DEDUCTION ON THE AFORESAID PREMIUM PAID BY ME
UNDER ANY OF THE PROVISIONS OF THE INCOME TAX ACT, 1961 IN THE INCOME TAX RETURN OR FROM
THEIR RESPECTIVE EMPLOYERS.
I FURTHER RESOLVE NOT TO AVAIL ANY BENEFIT /DEDUCTIONS UNDER THE INCOME TAX
ACT OR ASK FOR REIMBURSEMENT FROM MY EMPLOYER ( IF ANY)
_______________________
( Signature of the person )
NAME :
DATE :
Annexure:- IV
FORM OF DECLARATION TO BE FILED BY A PERSON WHO IS CLAIMING RELIEF U/S 80C FOR DEDUCTION IN RESPECT OF LIFE
INSURANCE PREMIA PAID
STAFF CODE :
NAME OF EMPLOYEE :
Name of Person Relation with Policy Number Policy Start Receipt. No. Receipt. Date.
Insured employee Date
Total
I ALSO CERTIFY THAT THOUGH THE PREMIUM RECEIPT IS IN THE NAME OF MY SPOUSE /FATHER / CHILDREN____________
(TO ENTER NAME), THE PREMIUM FOR THE SAME HAS BEEN
PAID BY ME FROM MY INCOME CHARGEABLE TO TAX FOR THE FINANCIAL YEAR 2017-18. ( STRIKE OUT IF NOT APPLICABLE )
I FURTHER CERTIFY THAT NEITHER MY SPOUSE NOR ANY OTHER FAMILY MEMBER HAS CLAIMED NOR WILL CLAIM ANY
DEDUCTION ON THE AFORESAID PREMIUM PAID BY ME UNDER
ANY OF THE PROVISIONS OF THE INCOME TAX ACT, 1961 IN THE INCOME TAX RETURN OR FROM THEIR RESPECTIVE
EMPLOYERS.
_______________________
( Signature of the employee )
DATE :
* IN CASE PREMIUM PAID IS IN RESPECT OF SELF PLEASE STRIKE OUT LAST 2 PARAGRAPHS.
(Annexure V)
NAME OF EMPLOYEE :
STAFF CODE :
I HEREBY DECLARE THAT I HAVE PAID AN AMOUNT OF RS. ___________ OUT OF MY INCOME
CHARGEABLE TO TAX FOR THE FINANCIAL YEAR 2017-18, AS TUTION FEES AS PER THE
DETAILS MENTIONED BELOW TO THE SCHOOL / UNIVERSITY / COLLEGE / EDUCATIONAL
INSTITUTE, SITUATED WITHIN INDIA FOR THE PURPOSE OF FULL TIME EDUCATION OF MY
CHILDREN.
Name of Child Name & Add. of Receipt. No. Receipt. Dt. Amount of
Institute Tuition Fees
Total
PLACE : ________________
_______________________
( Signature of the employee )
Encl. : Original Tuition Fee receipt